13-102683 III Ili
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K CITY OF Federal
RECEIVEDPERMIT SF MF CO ME PL DE EN FP
r FeFe deral Way
COMMUNITY DEVELOPMENT SERVICES 8t APPLICATION .3 c `7 ,`�.
25 -835-2607•FAX 253-835-2609JUN 1
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CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
31621 23rd Ave South
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4, 682.00 09 2 1 0 4 - 9 2 9 8
TYPE OF PERMIT ElBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING N FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Sound Transit Center Federal Way
Replace existing Simplex 4010 FACP with new Simplex 4010ES FACP.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Sound Transit
MAILING ADDRESS E-MAIL
31699 23rd Ave S.
CITY STATE Federal Way ZIPA 98003
s- _
NAME ,ter-,11,E{R PHONE
lJJW2V 1•, 2
-- �/ ane//
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
>/
NAME PHONE
SimplexGrinnell 206-291-1400
APPLICANT MAILING ADDRESS 9520 10th Ave S, Suite 100 fastebbins@simplexgrinnell.:om
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
PROJECT CONTACT NAME PHONE
Janet Stebbins/SimplexGrinnell 06 291-1468
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 9520 10th Ave. S., Suite 100 jastebbins@simplexgrinnell.com
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. /
SIGNATURE: % ,FAS;J ,ii hC6i•vjl�C!/ DATE 06/13/13
PRINT N• Janet Stebbins
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WoH $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercial)
BOILERS FURNACES HOT WATER TANKS pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS)Hand Sinks) TOILE TS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND-FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
E1Q6rIN6 PROPOSED TOTAL
Area Totals
,**
I1IEW HOMES 45111'4*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
aN�i'aIII 'ii ..': i .4 '4. i,�r, a 'q 1 p iia
i111111
o
/ADD'
�'I
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL .ry f SENT
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
i pi n WlY!!0 dill IIS ;ii id i 'I, Pdid i^ !` is ,..:,
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application